Jill Marie Shaw, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · Ackerman, MS

NPI

1457508475

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R753944 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-08-20

Last updated

2011-06-30